Potomac Pharmatech

LBN: Old Line Healthcare Inc
Potomac Pharmatech is an health care organization with primary practice located at 16107A Elliott Pkwy , Williamsport MD 21795-4084. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Old Line Healthcare Inc can be contacted via phone (301) 223-6616, or through Shelley, Eric via phone (717) 848-3445.

Contact Information

Primary practice address
16107A Elliott Pkwy Williamsport MD 21795-4084
Phone: (301) 223-6616
Fax: (301) 223-6679
Website:
Map and Directions
Authorized official contact:
Name: Shelley, Eric R PH
Phone: (717) 848-3445

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X MO0560293 West Virginia
Suppliers / Long Term Care Pharmacy 3336L0003X PW0296 Maryland
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1356489348
LBN Legal business name Old Line Healthcare Inc
DBA Doing business as Potomac Pharmatech
Authorized official Shelley, Eric R PH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Jun 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356489348 NPPES
West Virginia MEDICAID 3810023127
West Virginia MEDICAID 1023189160001
West Virginia MEDICAID 012478800
West Virginia Other 2038215

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